| NPI | 1982895827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME135589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203826) |
| 207R00000X Internal Medicine (Licence: MS 21468) | |
| 208M00000X Hospitalist (Licence: LA MD.203826) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2021-01-28 |